title: A case of fulminant peritonitis caused by Streptococcus mitis in a patient on peritoneal dialysis.
abstract: A 54-year-old woman on peritoneal dialysis (PD) was hospitalized with peritonitis with a high body temperature, abdominal pain and cloudy peritoneal fluid. She progressively fell into septic-like shock within only 6 hours after onset. The causative bacteria were Streptococcus mitis (S. mitis), part of the normal flora of oral cavity, intestine, female genial tract and upper respiratory tract. S. mitis shows pathogenicity for diseases such as endocarditis, brain abscesses and sepsis in children with malignancy or transplantation. However, S. mitis rarely shows severe pathogenic responses in adults. We report herein a case of fulminant peritonitis caused by S. mitis in an adult PD patient.
authors.affiliation: Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan. masashim1jp@yahoo.co.jp
authors.forename: Masashi
authors.initials: M
authors.lastname: Mizuno
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Ito
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Masuda
authors.forename: Susumu
authors.initials: S
authors.lastname: Toda
authors.forename: Hideki
authors.initials: H
authors.lastname: Hiramatsu
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Takenori
authors.initials: T
authors.lastname: Ozaki
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Yasuda
authors.forename: Isao
authors.initials: I
authors.lastname: Ito
authors.forename: Naotake
authors.initials: N
authors.lastname: Tsuboi
authors.forename: Waichi
authors.initials: W
authors.lastname: Sato
authors.forename: Shoichi
authors.initials: S
authors.lastname: Maruyama
authors.forename: Enyu
authors.initials: E
authors.lastname: Imai
authors.forename: Seiichi
authors.initials: S
authors.lastname: Matsuo
mesh_terms: D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D012772:Shock, Septic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D034361:Streptococcus mitis / Q000302:isolation & purification / Q000472:pathogenicity